Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $315.89 / $412.40 / $482.59	Facility		$315.89	$412.40	$482.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $297.32 / $315.89 / $370.16	Professional		$297.32	$315.89	$370.16
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $173.37 / $1,641.45 / $1,641.45	Facility		$173.37	$1,641.45	$1,641.45
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $308.47 / $1,255.67 / $1,255.67	Professional		$308.47	$1,255.67	$1,255.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $321.72 / $321.72 / $1,286.88	Facility		$321.72	$321.72	$1,286.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $321.72 / $321.72 / $394.56	Professional		$321.72	$321.72	$394.56
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $139.19 / $366.56 / $795.97	Facility		$139.19	$366.56	$795.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $194.88 / $379.68 / $691.83	Professional		$194.88	$379.68	$691.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $353.89 / $386.06	Professional		$70.00	$353.89	$386.06
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $355.83 / $79,999.20 / $79,999.20	Facility		$355.83	$79,999.20	$79,999.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $22.78 / $173.37 / $803.42	Facility		$22.78	$173.37	$803.42
United Facility/Professional Professional Modifier Low / Median / High Price $309.70 / $309.70 / $371.65	Professional		$309.70	$309.70	$371.65
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $321.72 / $321.72 / $321.72	Professional		$321.72	$321.72	$321.72